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Sustaining Diversity, Equity, And Inclusion Through Transformational Leadership In Behavioral Health Management, Ndubuisi Christopher Egunetugo

Walden Dissertations and Doctoral Studies

This case study examines the challenges of Diversity, Equity, and Inclusion (DEI) within an organization, emphasizing systemic biases, workforce diversity, and the necessity of culturally competent care. The Behavioral Health Organization in the southern United States faces significant DEI challenges due to its diverse clientele, workforce, and various stakeholders. Transformational leadership, marked by visionary thinking and actionable initiatives, is crucial for sustaining DEI efforts and addressing disparities in service access, care quality, management practices, and treatment outcomes. The Baldrige Framework of Excellence is employed as a systematic method to embed DEI principles across organizational operations, facilitated by transformational leadership to …

Predictors Of Older Adults' Confidence In Avoiding Drug Interactions, Ginalynn Cabanas Garces

Walden Dissertations and Doctoral Studies

Adverse drug interactions due to polypharmacy pose a significant global health concern, particularly for older adults. Age-related physiological changes increase vulnerability to medication-related issues, with adverse drug reactions often mistaken for normal aging. These misdiagnoses can lead to prescribing cascades and preventable harm. Despite evidence supporting comprehensive medication reviews and clinical guidelines, their application remains inconsistent across healthcare settings. This quantitative archival analysis aimed to identify critical risk factors—such as age, sex, race, education level, medication complexity, drug interaction discussions, number of prescriptions, and overall physical and mental health—that influence older adults’ confidence in avoiding drug interactions. Grounded in the …

Culture And Attachment Preference Among Young Adults In Egypt And The United States, Musheera Anis Abdellatif

School of Education Faculty Publications

We explored the relationship between cultural values, recollected early caregiving experiences and young adult attachment preference. Young adults in Egypt (N = 209) and the United States (N = 554) ranked their current attachment preference, rated their collectivist and individualist beliefs, and recalled the relative contributions of their early caregivers. Egyptian students scored higher than US students on collectivism and recalled more involvement from non-parental caregivers. Most participants reported a preference hierarchy (82% Egypt & 84% US). Surprisingly, individualism was negatively associated with maternal attachment ratings and with having a clear principal attachment relationship, whereas higher collectivism predicted …

Seguir Adelante: A Qualitative Exploration Of Latino Farmworkers' Work And Nonwork Resources., Faviola Robles Saenz, Julissa Castellanos Regalado, Larry Martinez, Greg Townley

Psychology Faculty Publications and Presentations

Latino immigrant workers have been an exploited community within many dangerous workforces, but especially within the agricultural industry. They are a crucial population for the labor and economy of the U.S., yet Latino farmworkers report feeling expendable, discriminated against, and exposed to hazardous working conditions. Due to these experiences, it is essential to explore the resources that farmworkers find valuable in improving their working conditions. This study draws upon qualitative interviews conducted with 41 Latino farmworkers in Oregon. Themes pertaining to work and nonwork resources were uncovered through thematic analysis, illustrating that farmworkers receive support from their proximal communities and …

Are Positive And Negative Leader Humor Two Different Coins? A Meta-Analysis, Xiaohong Xu, Richard Hayes, Lixin Jiang, William P. Jimenez

Psychology Faculty Publications

Scholars disagree on the distinction between positive and negative leader humor, which may hinder the integration and advancement of the leader humor literature. Thus, we meta-analyzed the correlation between positive and negative leader humor, as well as their shared nomological networks (k = 161; follower N = 45,759; leader N = 7,820). Our meta-analysis indicates that (1) there is a very small but significant correlation between positive and negative leader humor (ρ = -.07); (2) positive and negative leader humor have differential relationships with most antecedents (e.g., positive affectivity) and outcomes (e.g., innovation and citizenship behavior); (3) positive affect …

Youth Experiences Of Participation, Inclusion, And Influence Within A Youth-Serving Organization Implementing Participatory Processes, Rhen M. Miles

Dissertations and Theses

The youth development field has undergone shifts and reconstructions in how youth are conceived, impacting the approaches of youth-serving programs attempting to facilitate learning, growth, and engagement. Evolving views inform how policymakers, funders, and youth-serving agencies perceive and relate with youth. In turn, these dynamics influence how youth learn to think about themselves, others, and the world. Dominant discourse regarding youth development has been shifting from a deficit-based to an asset-based lens, with the proliferation of Positive Youth Development (PYD) frameworks, which seek to cultivate internal strengths and positive developmental outcomes rather than just prevent negative behaviors and outcomes. Despite …

Multiple Sclerosis Cognitive Scale (Mscs): A Brief Psychometrically Robust Metric Of Patient-Reported Cognitive Difficulty, James F. Sumowski, Joshua Sandry

Department of Psychology Faculty Scholarship and Creative Works

Background:

Existing metrics of patient-reported cognitive difficulties in multiple sclerosis (MS) are lengthy, lack psychometric rigor, and/or fail to query prevalent expressive language deficits.

Objective:

Develop a brief psychometrically robust metric of patient-reported cognitive deficits that includes language items; the Multiple Sclerosis Cognitive Scale (MSCS).

Method:

Exploratory factor analysis (EFA) was conducted on 20 Perceived Deficits Questionnaire (PDQ) items plus five newly developed language questions in a large MS sample and matched respondents without neurologic disease. Independent confirmatory principal components analysis (PCA) assessed EFA factor structure. Reliability of the new scale and subscales, and relationships with objective cognitive impairment and …

The Role Of Acculturative Stress, Discrimination In Healthcare Settings, And Migration-Related Trauma On Hiv Prevention And Mental Health Among Immigrant Hispanic Sexual Minority Men: An Integrated Model Of Acculturation And Minority Stress, Jonathan Lopez Matos

Dissertations, Theses, and Capstone Projects

This dissertation expands Minority Stress Theory (MST) by integrating the Fourfold Acculturation Model (FAM) to examine the impact of psycho-sociocultural stressors on health outcomes among immigrant Hispanic sexual minority men (HSMM) in the U.S. The study explored how language proficiency, acculturative stress, discrimination in healthcare, migration-related trauma, and stress-related growth influence HIV prevention behaviors and mental health. Survey data from 194 Spanish-speaking immigrant HSMM revealed that monolingual Spanish speakers experienced significantly higher acculturative stress than bilinguals. Acculturative stress significantly mediated the association between stressors and health outcomes, such as HIV testing and mental health symptoms. Discrimination and trauma were directly …

Tracing Reverberations: Vietnamese Refugee Mothers' Adaptations To Complex Structural Forces And Intergenerational Engagements, Kim Khanh Nguyen-Nalpas

Dissertations, Theses, and Capstone Projects

The main purpose of this study is to learn how refugee mothers adapt to hierarchical systems of oppression with agency and resistance. Global refugee forums and decades of past research on refugees have identified the importance of increasing agency to best support refugees as they resettle. Previous research by the author has demonstrated that refugee mothers model resistance to oppressive systems which has implications for children who witness this resistance. In-depth interviews were conducted with 19 Vietnamese refugee mothers to explore their mothering practices, how they adapted given the socio-political forces shaping their lives, and how these adaptations reverberated through …

Differential Mechanisms Of Access In Working Memory: Comparing Global And Selective Retrieval, Jade M. Turbides

Dissertations, Theses, and Capstone Projects

Working memory (WM) is essential for numerous cognitive tasks, yet the mechanisms underlying selective access to specific subsets of its contents vs. global, nonselective access remain incompletely understood. Context-specific selection of individual items from WM has been found to be more time-consuming and error-prone than globally accessing all memory contents. This study investigates whether the performance costs of selective WM access arise primarily from demands on item-context binding memory. Previous research has suggested that only selective access relies on memory for item-context bindings whereas global access can solely rely on item memory. Across two experiments, we employed task paradigms that …

The Perspectives Of Play Advocates On Children’S Unstructured Play In Turkey, Bengi Sullu

Dissertations, Theses, and Capstone Projects

The Convention on the Rights of the Child has established children’s rights to non- discrimination, development, participation and the observance of their best interests. With this recognition, there has been a growing global interest in acknowledging play as a right. Yet unstructured play, in which children can choose when, where and how to play, with control over their play, has not received the same attention, support and investment as organized, structured play (UNCRC General Comment 17, 2013). The way adults perceive and support play shapes the play opportunities that are available to children (Bianquin, 2018; Göl-Güven, 2017). Additionally, institutions and …

Synchronizing Work And Teaching Practices With The Spatial Dna Of Distributed Work And Learning, Manju Aishwarya Adikesavan

Dissertations, Theses, and Capstone Projects

Phygitality, the seamless and synergistic integration of physical and digital realms, is an indispensable and irrevocable part of contemporary office-based work. Phygitality facilitates spatially and temporally distributed or multi-local working where employees work from diverse locations such as their home, office, and third places at any time of day or night. It also makes nonterritorial working at temporary workspaces accessed on a session-by-session basis possible.

This dissertation examines how phygital, multi-local, and nonterritorial working reshape individual and group work behaviors, organizational spatial practices, work-centric settings, non-work-centric settings, neighborhoods, cities, and regions. The Spatial DNA of Distributed Work encapsulates a conceptual …

Quantified Lives: Data, Bias, And The Cost Of Categorization, Colin F. Geraghty

Dissertations, Theses, and Capstone Projects

This project critically examines how statistical methods and data visualization have historically been used to categorize, rank, and control human populations. By exploring the works of key figures like Francis Galton, Karl Pearson, and R.A. Fisher, it traces the evolution of categorization frameworks from their eugenic roots to modern applications in artificial intelligence and global metrics like the World Happiness Report. Through interactive visualizations and historical analysis, the project invites users to question the legitimacy of these frameworks and reflect on their impact on society. At its core, this work emphasizes the need to move beyond rigid classification systems, challenging …

Beauty Comes With A Price: But How Much Is It Worth It, Fabliha Afia

Dissertations, Theses, and Capstone Projects

The global skincare market, valued at 104.24 billion dollars in the year 2022, is very heterogeneous, ranging from prestige brands to more drugstore types. Even when the same key ingredients are present, the latter often sells for much higher due to branding and packaging and the aura of prestige created. This capstone project entitled "Beauty comes with a price: but how much is it worth?" investigates if such higher costs are justified due to superior quality or are driven by non-functional factors. It systematically compared the high-end versus drugstore skincare products in categories like sunscreens, serums, and exfoliants with respect …

Examining The Role Of Executive Functioning In Self-Care Of Type 1 Diabetes Among Youth, Erin Vogel

Doctor of Psychology (PsyD)

This study explores the relationships between youth executive functioning, symptoms of depression, the self-management (self-care) of Type 1 diabetes (T1D), and glycemic control, a proxy for diabetes-related health outcomes. Utilizing archival clinical data from a universityaffiliated pediatric diabetes clinic, the study tested a priori hypothesized associations between depressive symptoms, executive functioning, diabetes self-care, and health outcomes. Parent and youth measures included the Patient Health Questionnaire-9 to assess youth depression, the Diabetes Related Executive Functioning Scale-Short Form to assess youth executive functioning, and the Diabetes Self-Management Profile-Short Form to assess youth diabetes-related self-care behaviors. Hemoglobin A1c (HbA1c) assays were a secondary …

Beyond The Sum: A Network Analysis Of Adverse Childhood Experiences And Behavioral Outcomes In Justice-Involved Youth, Jennifer Yang

Dissertations, Theses, and Capstone Projects

This dissertation examines gender-specific patterns of adverse childhood experiences (ACEs) among justice-involved youth using network analysis. Despite experiencing higher rates of childhood adversity, female youth show lower recidivism rates than males, presenting an empirical paradox. Using a sample of 19,454 justice-involved youth (75% male), this study applies novel network methods to understand how ACEs and behavioral outcomes are organized across gender. Findings reveal distinct network architectures: female youth maintain more integrated but vulnerable networks, while males show more compartmentalized but stable structures. Female recidivists demonstrate systematic network destabilization when compared to non-recidivists, characterized by a 39% reduction in network density, …

Investigating The Risk And Protective Factors Of Internet Addiction Among Adolescents Through The Lens Of Cognitive Behavioral Theory: A Cross-Sectional Study, Noura Shaltout

Theses and Dissertations

—Introduction: The Internet has become a central part of modern life, enhancing education, providing means of global communication, and facilitating access to information and entertainment. However, an attendant risk of excessive Internet use is becoming unconsciously addicted to virtual online activities, especially when large tech companies design their products in a way that makes them addictive to users. These companies have the tools and knowledge that allow them to manipulate and transform the behavior of their target audience. Thus, this study aimed to investigate the potential risk and protective factors for Internet addiction among adolescents. Methodology: This cross-sectional study employed …

The Impact Of Working With Forced Migrants In The Context Of Graduate Research Training, Alfonso Mercado, Frances R. Morales, Amanda Palomin, Andy U. Torres, Amanda Venta

Psychological Science Faculty Publications

Researchers, including graduate students, who work with refugees and asylum seekers are exposed to narratives of torture, trauma, loss, and distress. This article features the testimonies of the authors as doctoral students and mental health researchers-in-training—as well as their supervisors—regarding their research with the immigrant community in an underserved area on the Texas U.S.–Mexico border, a popular migratory entry point for Central American immigrants seeking asylum in the United States. This article aimed to bear witness to the emotional impact that working with forced migrants may have on researchers by describing the experiences of doctoral students conducting research with asylum …

Adverse Childhood Experiences, Anger, And Violence Among Justice-Involved Youth: A Network Analysis, Nan Li, Matt Shelton, Elena L. Grigorenko

Psychological Science Faculty Publications

Background: Adverse childhood experiences (ACEs) are a complex construct that can be viewed as a network of interconnected adversities, with some interactions being substantially stronger than others. However, relatively little is known about the complex interactions between adversities in justice-involved youth (JIY). Moreover, even less is known about the pathways through which early adverse experiences contribute to violent offending.

Objective: The present study aimed to identify the most influential adverse event(s) within a network structure of adversity. It also investigated one of the pathways through which ACEs contributed to violent offending.

Participants and setting: We used archival data consisting of …

Religion: Evolutionary Foundation For, Nicole Fellice Ko, Norman P. Li

Research Collection School of Social Sciences

Religion refers to a structured set of spiritual beliefs and rituals. Evolution refers to the process by which living organisms transform and develop over time. Religion—the belief in spiritual beings—influences nearly every aspect of life, making it challenging to understand many phenomena without considering its influence (Bloom, 2012). About two-thirds of the world’s population is religious (Kramer & Tong, 2024); 70% of Americans consider themselves spiritual, and 83% believe they have a spirit separate from their bodies (PEW Research Center, 2023). Throughout history, religion has played a significant role in conflicts like war and continues to influence contemporary issues such …

Plasma Proteomic Characterization Of Motoric Cognitive Risk And Mild Cognitive Impairment, Gabriela T Gomez, Sanish Sathyan, Jingsha Chen, Myriam Fornage, Pascal Schlosser, Zhongsheng Peng, Jenifer Cordon, Priya Palta, Kevin J Sullivan, Adrienne Tin, B Gwen Windham, Rebecca F Gottesman, Nir Barzilai, Sofiya Milman, Joe Verghese, Josef Coresh, Keenan A Walker

Faculty, Staff and Student Publications

INTRODUCTION: Motoric cognitive risk (MCR) is a pre-dementia syndrome characterized by mobility and cognitive dysfunction. This study conducted a proteome-wide study of MCR and compared the proteomic signatures of MCR to that of mild cognitive impairment (MCI).

METHODS: Participants were classified as MCR using a memory questionnaire and 4-meter walk. We measured 4877 plasma proteins collected during late-life and midlife. Multivariable logistic regression related each protein to late-life MCR/MCI. MCR-associated proteins were replicated internally at midlife and in an external cohort.

RESULTS: Proteome-wide analysis (n = 4076) identified 25 MCR-associated proteins. Eight of these proteins remained associated with late-life MCR …

Speech And Language Assessment Practices For Bilingual Children In The School Setting: Where Do We Go From Here?, Seijra Toogood, Raul Prezas

Journal of Human Services: Training, Research, and Practice

Abstract

The field of speech-language pathology has demonstrated growth in bilingual assessment and evaluations. However, many questions remain regarding formal and informal assessment practices, intervention recommendations, and cultural competency or responsiveness. Sixty-one SLPs in Virginia completed a survey on demographics, bilingual assessment practices, cultural competence, and language development of ELL students. Seven SLPs who work with bilingual and/or ELL students were also interviewed to ascertain bilingual assessment practices, cultural competence, and language development knowledge. Areas of concern included assessment of bilingual students, lack of developmental norms and standardized assessment tools in languages other than English, and lack of knowledge of …

Childhood Sexual Abuse Among Asian American Adults: Prevalence, Cultural Barriers, And Mental Health Implications, Kruti S. Chaliawala, Liliana Rojas-Guyler

Dignity: A Journal of Analysis of Exploitation and Violence

Childhood sexual abuse represents a significant public health concern, particularly within minority populations, where adversities and complications are prevalent but understudied. This study aims to investigate the mental health of Asian American childhood sexual abuse survivors and explore the prevalence of childhood sexual abuse among Asian adults. A secondary analysis of the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data was conducted, including a final sample of 1,894 Asian adults (0.16% of the total sample size of N = 401,958). Among these participants, 16.8% (n = 1,894) reported experiencing CSA. The most common forms of abuse were inappropriate touching …

Respuesta A Una Crítica Política Y A Un Ataque Personal Contra Un Informe De Las Naciones Unidas Que Presenta Nueva Evidencia Sobre La Prostitución Como Causa Y Consecuencia De La Violencia Contra Las Mujeres Y Las Niñas, Reem Alsalem

Dignity: A Journal of Analysis of Exploitation and Violence

Reem Alsalem, Relatora Especial de las Naciones Unidas sobre la violencia contra las mujeres y las niñas, sus causas y consecuencias, responde a las acusaciones falsas y infundadas y a los ataques personales sobre su informe sobre Prostitución y Violencia contra la Mujer, presentado ante la 56ª sesión del Consejo de Derechos Humanos de las Naciones Unidas en Ginebra, 2024. Presenté nueva evidencia sobre la relación entre la violencia contra las mujeres y las niñas y la prostitución. Utilizando el derecho de los derechos humanos, el informe describe la prostitución como un sistema de abuso, explotación y violencia contra las …

Conflicted Help-Seeking: Vulnerable And Grandiose Narcissistic Traits In College Students, Daniel G. Lannin, Rachel Brenner, Jake R. Solka, Amanda Martin, Anthony Hermann

Faculty Publications – Psychology

This study highlights distinct patterns in help-seeking behavior among college students with narcissistic traits, focusing on grandiose and vulnerable manifestations of these traits. Two undergraduate samples (N₁ = 398, N₂ = 424) completed measures of narcissistic traits, stigma, psychological distress, and help-seeking intentions. Higher levels of vulnerable narcissistic traits were positively linked to help-seeking willingness, with indirect effects through heightened distress (positive) and stigma (negative). In contrast, grandiose narcissistic traits showed no consistent direct or indirect effects on help-seeking behavior. These findings reveal that students with elevated vulnerable narcissistic traits may experience conflicting motivations for seeking help – driven by …

Neural Processes Of Emotional Conflict Detection And Prediction Of Posttraumatic Stress Disorder Symptom Clusters In Traumatic Injury Survivors, Kaley E. Davis, Carissa W. Tomas, Kate E. Webb, Ashley A. Huggins, Terri A. Deroon-Cassini, Christine L. Larson, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

Objective: Given the prevalence and significant burden of posttraumatic stress disorder (PTSD), identifying early predictors of symptom development following trauma is critical. PTSD is a heterogeneous disorder comprised of distinct symptom clusters-reexperiencing, avoidance, negative mood, and hyperarousal-that contribute to the broad range of possible symptom profiles. Affective and attentional regulation processes, such as emotional conflict detection, are impaired in individuals with PTSD; however, the neural mechanisms underlying these alterations and their predictive utility for the development of PTSD symptoms remain unclear.

Method: Traumatic injury survivors (N = 49) without traumatic brain injury were recruited from the emergency department of …

Covid-19-Related Risk, Resilience, And Mental Health Among Mexican American Mothers Across The First Year Of The Pandemic, Amy L. Non, Elizabeth S. Clausing, Sandraluz Lara-Cinisomo, Kimberly D'Anna-Hernandez

Psychology Faculty Research and Publications

Background

Latina mothers have been especially affected by the pandemic and historically exhibit high rates of depression and anxiety. However, few longitudinal studies have assessed the effect of the pandemic on this vulnerable population. We hypothesized that COVID-19-related stressors would associate with psychological distress among Latina mothers across the first year of the pandemic.

Methods

We investigated COVID-19-related impact, stigma, and fears across two critical time points and changes in these measures in relation to changes in maternal anxiety and depression among mothers of Mexican descent living in Southern California (n=152). Surveys were administered within 5–16 weeks of …

A Study On The Psychometric Properties Of The Chinese Version Of The Parent Tic Questionnaire, Qiang Ding, Douglas W. Woods, Kathryn E. Barber, Wen Xu, Ying Zhao, Shuqin Shen, Jinhua Sun

Psychology Faculty Research and Publications

Introduction

The Parent Tic Questionnaire (PTQ) is a tool for parents to assess their child’s tic severity, but its effectiveness in non-Western contexts like China has not been thoroughly examined. This study aimed to evaluate the psychometric properties of the PTQ in assessing motor and vocal tic severity among Chinese children diagnosed with tic disorders.

Method

Parents of 268 Chinese children and adolescents aged 6–17 years, diagnosed with tic disorders, completed the PTQ. The study assessed tic severity using the Yale Global Tic Severity Scale (YGTSS) and PTQ. Additionally, obsessive-compulsive symptoms were measured using the Children Yale-Brown Obsessive Compulsive Scale …

Ai As Your Ally: The Effects Of Ai-Assisted Venting On Negative Affect And Perceived Social Support, Meilan Hu, Xavier Cheng Wee Chua, Shu Fen Diong, K. T. A. Sandeeshwara Kasturiratna, Nadyanna M. Majeed, Andree Hartanto

Research Collection School of Social Sciences

In recent years, artificial intelligence (AI) chatbots have made significant strides in generating human-like conversations. With AI's expanding capabilities in mimicking human interactions, its affordability and accessibility underscore the potential of AI chatbots to facilitate negative emotional disclosure or venting. The study's primary objective is to highlight the potential benefits of AI-assisted venting by comparing its effectiveness to venting through a traditional journaling platform in reducing negative affect and increasing perceived social support. We conducted a pre-registered within-subject experiment involving 150 participants who completed both traditional venting and AI-assisted venting conditions with counterbalancing and a wash-out period of 1-week between …

Social Influence In Close Relationships, Kenneth Tan, Ya Hui Michelle See

Research Collection School of Social Sciences

Romantic partners frequently spend substantial amounts of time with each other (Gerstel & Sarkisian, 2006), forming profound connections, creating meaningful memories (Philippe et al., 2013), and having an indelible impact on one's self-views and identity (e.g., Aron & Aron, 1997). Indeed, extant research showcases that the relationship between romantic partners plays a pivotal role in addressing a multitude of life's challenges together. Besides addressing goals that are specifically related to surviving and reproducing, romantic partners also serve as vital sources for assistance, advice, companionship, and emotional support (see Feeney & Collins, 2014; Finkel et al., 2014; Fitzsimons et al., 2015). …